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Episodic memory, amnesia, and the hippocampal–anterior thalamic axis

Aggleton, John P., Brown, Malcolm W.·1999·Behavioral and Brain Sciences

DOI 10.1017/s0140525x99002034

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Abstract

By utilizing new information from both clinical and experimental (lesion, electrophysiological, and gene-activation) studies with animals, the anatomy underlying anterograde amnesia has been reformulated. The distinction between temporal lobe and diencephalic amnesia is of limited value in that a common feature of anterograde amnesia is damage to part of an “extended hippocampal system” comprising the hippocampus, the fornix, the mamillary bodies, and the anterior thalamic nuclei. This view, which can be traced back to Delay and Brion (1969), differs from other recent models in placing critical importance on the efferents from the hippocampus via the fornix to the diencephalon. These are necessary for the encoding and, hence, the effective subsequent recall of episodic memory. An additional feature of this hippocampal–anterior thalamic axis is the presence of projections back from the diencephalon to the temporal cortex and hippocampus that also support episodic memory. In contrast, this hippocampal system is not required for tests of item recognition that primarily tax familiarity judgements. Familiarity judgements reflect an independent process that depends on a distinct system involving the perirhinal cortex of the temporal lobe and the medial dorsal nucleus of the thalamus. In the large majority of amnesic cases both the hippocampal–anterior thalamic and the perirhinal–medial dorsal thalamic systems are compromised, leading to severe deficits in both recall and recognition.

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Authors: Aggleton, J. P., & Brown, M. W.
Affiliations: Cardiff University (GB)
University of Bristol (GB)
ORCID: Aggleton, John P.
Venue: Behavioral and Brain Sciences
Publisher: Cambridge University Press (CUP)
Published: 1999-06
Volume: 22
Issue: 3
Pages: 425-444
ISSN: 0140-525X (ISSN-L)
1469-1825
DOI: 10.1017/s0140525x99002034
OpenAlex: W2154521931
Cited by: 1,879
References: 417
Citations by year: 2026: 22 · 2025: 37 · 2024: 35 · 2023: 40 · 2022: 52 · 2021: 74 · 2020: 63 · 2019: 55 · 2018: 68 · 2017: 62 · 2016: 65 · 2015: 84 · 2014: 69 · 2013: 79 · 2012: 90
FWCI: 38.62
Type: journal article
Language: en
Open access: closed
Licence: www.cambridge.org/core/terms (unspecified)
Locations: Behavioral and Brain Sciences (publishedVersion)
PubMed (publishedVersion)
ORCA Online Research @Cardiff (Cardiff University) (acceptedVersion)
Topics: Life Sciences › Neuroscience › Cognitive Neuroscience › Memory and Neural Mechanisms
Life Sciences › Neuroscience › Cognitive Neuroscience › Memory Processes and Influences
Life Sciences › Neuroscience › Cellular and Molecular Neuroscience › Neuroscience and Neuropharmacology Research
Keywords: episodic memory, anterograde amnesia, hippocampus, anterior thalamic nuclei, fornix, mammillary bodies, diencephalon, familiarity, recognition memory, perirhinal cortex
MeSH terms: Amnesia, Hippocampus, Humans, Memory, Short-Term, Models, Neurological, Neural Pathways, Mental Recall, Temporal Lobe, Thalamus, Anterior Thalamic Nuclei, Midline Thalamic Nuclei, Fornix, Brain, Recognition, Psychology

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Episodic memory, amnesia, and the hippocampal–anterior thalamic axis

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